Contraceptive fact sheet Kisumu CRS, Kenya Beatrice Nyagol CAT - - PowerPoint PPT Presentation

Beatrice Nyagol CAT Presentation 24th September 2016

Contraceptive fact sheet Kisumu CRS, Kenya

Overview

 Background-Kisumu CRS  Family planning situation –Kenya  Adolescent Contraception services  Barriers/Myths/Misconceptions  Clinical Guidelines for contraceptive provision  Summary

Modern Contraceptives in Kenya

 Surgical Contraception

• Female Sterilization
• Male Sterilization

 IUCD (LNG20-IUS/Copper-based)  Hormonal

• Oral Pills(COCs/POPs/ emergency Pills)
• PO Implants(Jadelle, Implanon,)
• Injectables (DMPA,NET-EN)

 Barrier methods( male and female condoms)

Family Planning Status

 Knowledge of at least one contraceptive method is

universal in Kenya

 More than half of currently married women are using a

contraceptive method (58%) and sexually active unmarried women accessing contraceptives is 65%

 Nationally 15% of women 15-19 years have already

given birth

• In Nyanza 22% of 15-19 years have given birth, median age for first

birth is 18.7 years

Kenya Demographic Health Survey,2014

Preferred Methods among women

• Knowledge on emergency contraception was 60% among women

aged 15-49 years ,whereas it was 73.6 among sexually active unmarried women

• There is a steady increase in the uptake of the more long term

methods, IUDs and Implants but this is more in women aged 25 years and above

Pill Injectable Implants IUDs 15-19 Yrs* 1.8 14.3 6.0 0.0 20-24 Yrs* 12.2 13.4 1.5 0.0 15-49 Yrs 8.0 26.4 9.9 3.4 % of women sexually active *(unmarried) and all women and contraceptive choice (KDHS 2014)

Barriers to access

Unmet need for FP among adolescents and younger women due to barriers include;

Women’s needs and preferences Stigma to access FP services Cost of services Knowledge on availability of services Relationship status Unable to negotiate for safe sex options Complex Socio-behavioral – perception of

their social network approval of FP

Myths and Misconceptions

 Implants

• Side effects(Infertility, Birth defects)
• *Can be easily found/seen

 IUCDs

• Causes abortions
• Causes Infections including cancer
• Promiscuity
• Pregnancy while in place
• IUD getting lost

Contraceptive Adherence

 31% of contraceptive users discontinue use of the

method within 12 months of starting its use

 IUDs (6 percent)  Implants (8 percent)  The pill (22 percent)

 11% of episodes of discontinuation occurred

because of side effects or health concerns, and 5% because the woman wanted to become pregnant

KDHS ,2014

Policy context

 The Kenyan policy on youth contraception is not

explicit, resulting in different institutional and individual policies

 It can also be sighted for the popularity of the less

restrictive commercial service sources over health institution-based facilities that otherwise offer more comprehensive services

Policy Context

Summary

 Unmet need for FP among adolescent girls

and young women needs to be bridged

 Use of long acting methods needs to be

promoted

 Newer methods that are more user friendly

and female controlled e.g vaginal rings are much needed

 MOH needs to provide youth focused

services

Asante Sana Questions?